EP0153831A2 - Instrumente zum chirurgischen Ersetzen von Ligamenten - Google Patents
Instrumente zum chirurgischen Ersetzen von Ligamenten Download PDFInfo
- Publication number
- EP0153831A2 EP0153831A2 EP85300931A EP85300931A EP0153831A2 EP 0153831 A2 EP0153831 A2 EP 0153831A2 EP 85300931 A EP85300931 A EP 85300931A EP 85300931 A EP85300931 A EP 85300931A EP 0153831 A2 EP0153831 A2 EP 0153831A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- bone
- plug
- socket
- host
- cylindrical
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/08—Muscles; Tendons; Ligaments
- A61F2/0805—Implements for inserting tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1764—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
Definitions
- This invention relates to surgical instruments for . use in the surgical replacement of a ligament and in particular for implanting a prosthetic ligament into the body. concerned with
- the present invention is a method of securing a prosthetic ligament to a host bone comprising the steps of:
- the present invention is also concerned with a method of securing a prosthetic ligament to a first and second host bone to extend between a first surface of the first host bone and a second surface of the second host bone comprising the steps of:
- the present invention is further concerned with a technique for cutting and removing a replaceable bone plug from a host bone comprising:
- a set of surgical instruments for use in the surgical replaeemer of an artificial ligament comprising a clamp with a guide for locating the axis along which a bore is required for fixation of a ligament, a reamer cooperable with the clamp for removing an annulus of bone dust, a bone plug -extractor of the same outside diameter as the reamer, and a cylindrical drill bit guide of the same outside diameter as the reamer and bone plug extractor.
- a tool for guiding a cylindrical reaming tool along a predetermined axis to form a replaceable bone plug from a host bone comprises:
- the bone plug is extracted by inserting the cylindrical wall into the annulus.
- a short, sharp blow is applied in the middle region of the extractor while the handle is gripped, the force being applied at a point in said middle region but on the side opposite to the slot. This severs the bone plug completely from the host bone.
- the extractor includes a marker to indicate the correct area to be struck. More preferably this comprises a flattened bearing surface.
- the bone plug extractor includes the grippable handle which must be gripped whilst the force is applied so that no bone damage occurs.
- the bone plug extractor preferably includes means to aid turning the extractor about its longitudinal axis.
- the handle may include gripping means such as flutes or a knurled area.
- the handle may include a hole or holes through which a torque bar may be introduced to extend transversely of the handle and by means of which additional torque may be exerted should the friction between the extractor and the bone plug be too high to be overcome by merely gripping the handle.
- a cylindrical drill bit guide is placed into the cylindrical socket formed in the bone.
- the drill bit guide has a through hole for accommodating a drill bit which is introduced into the guide so that a reduced diameter bore is then drilled from the base of the cylinder to the other side of the bone at a region where the single pin of the clamp engages the bone. This region is selected to be as close as possible to the position where the original ligament was attached to the bone.
- a set of tools according to this invention includes an above- mentioned clamp, a reamer which cooperates with this clamp, a bone plug extractor of the same diameter as the annulus of the reamer, a rod which may be used with the bone plug extractor, and a cylindrical drill bit guide of the same diameter as the reamer and bone plug extractor.
- a ligament of the type with which this invention is concerned may be used to replace the cruciate ligaments of the knee. It can also, in the form of, for instance, a flat strip, be used to replace the medial ligament of the knee, or other ligaments or tendons of other joints.
- An artificial ligament 1 comprises an elongate strip of open weave polyester.
- This fabric is Terylene and is a mock leno weave comprising a warp of 550 Decitex polyester yarn and a weft of twisted polyester yarn.
- the holes are 0.1 x 0.2 cm. There are fourteen to fifteen holes across the width of the strip, and twenty holes per em 2 .
- the ligament is in the form of a tube 2 which has a slit 3 at one open end of the ligament 1 which extends to the open end edge of the ligament and a slit 4 at the other closed end of the ligament.
- the end of the slit 4 remote from the centre of the tube 2 is closed by a row or more of stitching or by dense weaving or in some other manner, to form a pouch capable of receiving a bone plug.
- the ligament extends further by a short portion 5a of the same open weave as the central portion 2.
- a threading cord 6 is attached to a position on this shorter portion 5a from the closure portion. The purpose of threading cord 6 is to allow the ligament to be pulled through the bores in the bone.
- a bone plug may be inserted into the pouch through the slit 4.
- the stitching or densly woven section 5 forms a closure which prevents movement of the bone plug out of the pouch in a direction away from the centre of the ligament 1.
- the ligament 1 has been shown in Figure 1 with a light coloured tubular insert. This means that the pouch-like structure is not clearly illustrated.
- a set of surgical instruments for use in the implantation of the ligament comprises a clamp 7, a reamer 8, a bone plug extractor 9, a push rod 10 and a drill bit guide 12.
- Clamp 7 comprises two parallel limbs 13 and 14 interconnected by a main spacer rod 15 and an auxililary rod 16.
- Main spacer rod 15 approximately centrally located in the clamp, is threaded from one end portion to a position lying about one third to one half of the length of the rod from that end portion. The threaded portion is in threaded engagement with a threaded bore located in limb 13 at the appropriate distances from the ends.
- the remainder of rod 15 is unthreaded and extends from the threaded portion through limb 14 to terminate in an enlarged head portion 17 carrying a handle 17a.
- this unthreaded portion of rod lies within a sleeve 16a which extends through limb 14 to which it is fixed. Within limb 14 sleeve 16a defines the bore through which rod 15 extends.
- Auxiliary rod 16 is fixed at one end to limb 14 and extends through a bore or a slot in the other limb 13 for sliding movement therewithin.
- the limb 14 includes a guide pin 18 extending perpendicularly from that end of the limb 14 remote from auxiliary.rod 16. In use guide pin 18 engages the bone to locate the position of attachment of the ligament to the bone. .
- the other limb 13 has mounted on it a cylindrical guide 19 which is rotatably mounted within a bore in limb 13 and is provided with a circlip 19a to prevent movement of the guide out of its bore in limb 13.
- the other end of cylindrical guide 13 is in the form of an enlarged section or pin support 20a which in turn carries two pins 20.
- Extending through Cylindrical guide 19 is a bore for receiving the reamer 8 such that reamer 8 will extend in a direction towards guide pin 18.
- the axes of guide pin 18 and said cylindrical guide are collinear.
- pins 20 are mounted on support 20a in a position offset from the bore extending through the guide 20 and at an angle to the axis of this bore.
- Guide 19 may be rotated within limb 13 so that the pins 20 describe the circumferential movement about the centre of the bore extending through guide 19.
- the position and orientation of the pins on guide 19 take account of the different contours of bone with which the clamp 7 may be used.
- the reamer 8 passes through the cylindrical guide 19 and has sharp cutting edges 21, which are milled along its surfaces and form sharp teeth at the rim of the reamer, and a handle 22 which may be used to oscillate the cutting edges 21 to remove the bone dust.
- the bone plug extractor 9 includes at one end a cylindrical wall 23 which defines an open ended cylinder. At its other end the tool 9 includes a grippable handle 23a.
- a slot 24 which defines an arcuate void in the cylindrical wall of the same length as that of section 23.
- the angle circumscribed by the slot is about 80°. As shown in Figure 4A, this angle c is subtended between the ends a, b of the slot and the centre of the circular portion of the wall 23.
- a flattened bearing surface 25 On the opposite side of the bone plug extractor 9 to the slot 24 is a flattened bearing surface 25. This defines an area to be struck in order to sever a base of a bone plug being removed by the extractor tool 9.
- the drill bit guide 12 is placed in the cylindrical hole created in the bone and is used as a guide for the drill bit to drill out the reduced diameter portion of the bore.
- the anterior cruciate ligament in the knee is connected to the femur 26 and the tibia 27.
- the clamp 7 is placed around the femur 26 with the first guide pin 18 placed at a point within the region of attachment 28 where the original ligament was attached to the femur 26.
- the clamp is then rotated until the cylindrical guide 19 is at the opposite side of the femur 26.
- the clamp 7 is then tightened up using handle 17a to locate the axis of the bore.
- the reamer 8 is then placed within the cylindrical guide 19 and the handle 22 is oscillated whilst applying a force along the axis of the reamer to remove an annulus of bone dust (Figure 7).
- the reamer is then removed from the bone.
- the push rod 10 is inserted into the reamer to push the bone plug thereout.
- the bone plug extractor 9 is then placed in the annulus defined in the femur 26.
- the gripping area 23a is held firmly to secure the bone plug extractor 9 firmly in place.
- a swift force is applied to the flattened surface 25 to remove the bone plug from the bone, by severing the base of the bone plug from the femur 26.
- the bone plug may be removed from the bone plug extractor 9 by inserting a rod into opening 24.
- the drill bit guide 12 is then placed in the cylindrical hole left in the femur 26.
- the enlarged end 12a of drill bit guide 12 prevents the guide being pushed too far into the hole in the femur so that it is subsequently difficult to extract.
- a drill bit is then placed within the guide 12 to drill out the reduced diameter portion 28 of the bore 29 now formed through the femur 26.
- the procedure is then repeated in the tibia forming a similar bore in the tibia.
- the ligament 1 is then threaded through the two bores 29 using the cord 6.
- the bone plug from the femur 26 is then placed within the slit 4 in the ligament.
- the bone plug from the tibia 27 is then forced into the opening 3, aided by a push rod.
- the ligament 1 is secured by bone plugs within both the femur and tibia.
- the ligament is stapled to the tibia and is then folded on itself. It is then stitched to itself and the periosteal tissue. The remainder of the ligament is then cut off.
- the ligament is sutured to the periosteal tissue and the cord is clipped off.
- the remaining part of the ligament may be trimmed but at least some distance away from the closed end of the patch defined by the densly woven region.
- the ligament Once the ligament is implanted within a patient, the ligament will be subject to tissue ingrowth thereby strengthening the ligament and also the anchoring of the ligament to the bones.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Rheumatology (AREA)
- General Health & Medical Sciences (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Dentistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Transplantation (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AT85300931T ATE63049T1 (de) | 1984-02-13 | 1985-02-13 | Instrumente zum chirurgischen ersetzen von ligamenten. |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP84300875 | 1984-02-13 | ||
EP84300875A EP0126520B1 (de) | 1983-02-16 | 1984-02-13 | Künstliches Ligament und Instrumente zur chirurgischen Ersetzung dieser Ligamenten |
Publications (3)
Publication Number | Publication Date |
---|---|
EP0153831A2 true EP0153831A2 (de) | 1985-09-04 |
EP0153831A3 EP0153831A3 (en) | 1987-09-09 |
EP0153831B1 EP0153831B1 (de) | 1991-05-02 |
Family
ID=8192562
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP19850300931 Expired EP0153831B1 (de) | 1984-02-13 | 1985-02-13 | Instrumente zum chirurgischen Ersetzen von Ligamenten |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP0153831B1 (de) |
JP (1) | JPS60241434A (de) |
DE (1) | DE3582689D1 (de) |
Cited By (34)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0223370A2 (de) * | 1985-10-17 | 1987-05-27 | Bahaa Botros Seedhom | Bandprothese |
FR2598311A1 (fr) * | 1986-05-07 | 1987-11-13 | Laboureau Jacques | Instrument chirurgical de visee et de pose pour la plastie (ou remplacement prothetique) du ligament croise posterieur du genou |
US4708139A (en) * | 1986-02-24 | 1987-11-24 | Dunbar Iv William H | Arthroscopic drill guide |
EP0292678A1 (de) * | 1987-05-29 | 1988-11-30 | Kernforschungszentrum Karlsruhe Gmbh | Hilfsmittel zur Anbringung eines Kreuzbandersatzes |
FR2645013A1 (de) * | 1989-03-29 | 1990-10-05 | Strokon Andrew | |
EP0495487A2 (de) * | 1991-01-16 | 1992-07-22 | Pfizer Hospital Products Group, Inc. | Vorrichtung für arthroskopische Kniegelenkchirurgie |
WO1993010715A2 (en) * | 1991-12-03 | 1993-06-10 | Vesitec Medical, Inc. | Surgical treatment of stress urinary incontinence |
WO1994009708A1 (en) * | 1992-10-27 | 1994-05-11 | Neoligaments Limited | Ligament graft harvesting |
US5456722A (en) * | 1993-01-06 | 1995-10-10 | Smith & Nephew Richards Inc. | Load bearing polymeric cable |
EP0709072A1 (de) * | 1990-11-29 | 1996-05-01 | GMT Gesellschaft für medizinische Technik mbH | Vorrichtung zur Plazierung einer Bohrung in einem Knochen |
US5540703A (en) * | 1993-01-06 | 1996-07-30 | Smith & Nephew Richards Inc. | Knotted cable attachment apparatus formed of braided polymeric fibers |
US5544664A (en) * | 1991-12-03 | 1996-08-13 | Benderev; Theodore V. | Method of advancing a suture through tissue |
US5746763A (en) * | 1991-12-03 | 1998-05-05 | Boston Scientific Technology, Inc. | Device for supporting and positioning medical equipment |
US5766221A (en) * | 1991-12-03 | 1998-06-16 | Boston Scientific Technology, Inc. | Bone anchor implantation device |
US6001104A (en) * | 1991-12-03 | 1999-12-14 | Boston Scientific Technology, Inc. | Bone anchor implantation device |
US7347813B2 (en) | 1994-08-30 | 2008-03-25 | Ethicon, Inc. | Surgical instrument for treating female urinary incontinence |
US7717917B2 (en) * | 2004-09-06 | 2010-05-18 | Newdeal | Ancillary device for positioning a bone graft in a joint in order to ensure arthrodesis of the joint |
ES2399785R1 (es) * | 2010-08-06 | 2013-04-22 | Marin Tomas Ramos | Utiles para el obturado de tuneles oseos. |
CN104027159A (zh) * | 2013-03-04 | 2014-09-10 | 中国人民解放军第二军医大学 | 一套胸椎后纵韧带骨化物向前漂浮的装置 |
US8911474B2 (en) | 2009-07-16 | 2014-12-16 | Howmedica Osteonics Corp. | Suture anchor implantation instrumentation system |
US9078740B2 (en) | 2013-01-21 | 2015-07-14 | Howmedica Osteonics Corp. | Instrumentation and method for positioning and securing a graft |
US9226744B2 (en) | 2012-08-03 | 2016-01-05 | Howmedica Osteonics Corp. | Surgical instruments and methods of use |
US9232954B2 (en) | 2009-08-20 | 2016-01-12 | Howmedica Osteonics Corp. | Flexible ACL instrumentation, kit and method |
US9402620B2 (en) | 2013-03-04 | 2016-08-02 | Howmedica Osteonics Corp. | Knotless filamentary fixation devices, assemblies and systems and methods of assembly and use |
US9463013B2 (en) | 2013-03-13 | 2016-10-11 | Stryker Corporation | Adjustable continuous filament structure and method of manufacture and use |
US9788826B2 (en) | 2013-03-11 | 2017-10-17 | Howmedica Osteonics Corp. | Filamentary fixation device and assembly and method of assembly, manufacture and use |
US9795398B2 (en) | 2011-04-13 | 2017-10-24 | Howmedica Osteonics Corp. | Flexible ACL instrumentation, kit and method |
US9986992B2 (en) | 2014-10-28 | 2018-06-05 | Stryker Corporation | Suture anchor and associated methods of use |
FR3059542A1 (fr) * | 2016-12-06 | 2018-06-08 | Novastep | Outillage pour l'osteosynthese formant un viseur de guidage de deux broches axiales |
US10448944B2 (en) | 2011-11-23 | 2019-10-22 | Howmedica Osteonics Corp. | Filamentary fixation device |
US10568616B2 (en) | 2014-12-17 | 2020-02-25 | Howmedica Osteonics Corp. | Instruments and methods of soft tissue fixation |
US10610211B2 (en) | 2013-12-12 | 2020-04-07 | Howmedica Osteonics Corp. | Filament engagement system and methods of use |
USD902405S1 (en) | 2018-02-22 | 2020-11-17 | Stryker Corporation | Self-punching bone anchor inserter |
US11331094B2 (en) | 2013-04-22 | 2022-05-17 | Stryker Corporation | Method and apparatus for attaching tissue to bone |
Families Citing this family (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6053935A (en) | 1996-11-08 | 2000-04-25 | Boston Scientific Corporation | Transvaginal anchor implantation device |
US6264676B1 (en) | 1996-11-08 | 2001-07-24 | Scimed Life Systems, Inc. | Protective sheath for transvaginal anchor implantation devices |
US6342057B1 (en) | 2000-04-28 | 2002-01-29 | Synthes (Usa) | Remotely aligned surgical drill guide |
US6379364B1 (en) | 2000-04-28 | 2002-04-30 | Synthes (Usa) | Dual drill guide for a locking bone plate |
US8033983B2 (en) | 2001-03-09 | 2011-10-11 | Boston Scientific Scimed, Inc. | Medical implant |
WO2002071931A1 (en) | 2001-03-09 | 2002-09-19 | Scimed Life Systems, Inc. | Medical slings |
US7131973B2 (en) | 2002-05-16 | 2006-11-07 | Boston Scientific Scimed, Inc. | Bone anchor implantation device |
AU2003259834A1 (en) | 2002-12-17 | 2004-07-29 | Boston Scientific Limited | Spacer for sling delivery system |
US7361138B2 (en) | 2003-07-31 | 2008-04-22 | Scimed Life Systems, Inc. | Bioabsorbable casing for surgical sling assembly |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BE531833A (de) * | ||||
US3913566A (en) * | 1974-07-17 | 1975-10-21 | Illinois Tool Works | Biopsy tool and method |
US4059115A (en) * | 1976-06-14 | 1977-11-22 | Georgy Stepanovich Jumashev | Surgical instrument for operation of anterior fenestrated spondylodessis in vertebral osteochondrosis |
US4096749A (en) * | 1977-04-29 | 1978-06-27 | Stewart Robert A | Core sampling device |
EP0126520A2 (de) * | 1983-02-16 | 1984-11-28 | Bahaa Botros Seedhom | Künstliches Ligament und Instrumente zur chirurgischen Ersetzung dieser Ligamenten |
-
1985
- 1985-02-13 EP EP19850300931 patent/EP0153831B1/de not_active Expired
- 1985-02-13 JP JP2614985A patent/JPS60241434A/ja active Pending
- 1985-02-13 DE DE8585300931T patent/DE3582689D1/de not_active Expired - Lifetime
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BE531833A (de) * | ||||
US3913566A (en) * | 1974-07-17 | 1975-10-21 | Illinois Tool Works | Biopsy tool and method |
US4059115A (en) * | 1976-06-14 | 1977-11-22 | Georgy Stepanovich Jumashev | Surgical instrument for operation of anterior fenestrated spondylodessis in vertebral osteochondrosis |
US4096749A (en) * | 1977-04-29 | 1978-06-27 | Stewart Robert A | Core sampling device |
EP0126520A2 (de) * | 1983-02-16 | 1984-11-28 | Bahaa Botros Seedhom | Künstliches Ligament und Instrumente zur chirurgischen Ersetzung dieser Ligamenten |
Cited By (68)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0223370A3 (en) * | 1985-10-17 | 1987-10-28 | Bahaa Botros Seedhom | Improvements in the surgical replacement of ligaments |
US4775380A (en) * | 1985-10-17 | 1988-10-04 | Seedhom Bahaa B | Surgical replacement of ligaments |
EP0223370A2 (de) * | 1985-10-17 | 1987-05-27 | Bahaa Botros Seedhom | Bandprothese |
US4708139A (en) * | 1986-02-24 | 1987-11-24 | Dunbar Iv William H | Arthroscopic drill guide |
FR2598311A1 (fr) * | 1986-05-07 | 1987-11-13 | Laboureau Jacques | Instrument chirurgical de visee et de pose pour la plastie (ou remplacement prothetique) du ligament croise posterieur du genou |
EP0253688A1 (de) * | 1986-05-07 | 1988-01-20 | Jacques-Philippe Laboureau | Chirurgisches Instrument zum Positionieren und Befestigen des hinteren Kreuzbandes des Kniegelenks |
EP0292678A1 (de) * | 1987-05-29 | 1988-11-30 | Kernforschungszentrum Karlsruhe Gmbh | Hilfsmittel zur Anbringung eines Kreuzbandersatzes |
GB2229923B (en) * | 1989-03-29 | 1993-04-28 | Andrew Strokon | Apparatus for knee surgery |
FR2645013A1 (de) * | 1989-03-29 | 1990-10-05 | Strokon Andrew | |
GB2229923A (en) * | 1989-03-29 | 1990-10-10 | Andrew Strokon | Apparatus for knee surgery |
EP0709072A1 (de) * | 1990-11-29 | 1996-05-01 | GMT Gesellschaft für medizinische Technik mbH | Vorrichtung zur Plazierung einer Bohrung in einem Knochen |
EP0495487A2 (de) * | 1991-01-16 | 1992-07-22 | Pfizer Hospital Products Group, Inc. | Vorrichtung für arthroskopische Kniegelenkchirurgie |
EP0495487A3 (en) * | 1991-01-16 | 1993-03-24 | Pfizer Hospital Products Group, Inc. | Apparatus for arthroscopic knee surgery |
US5836314A (en) * | 1991-12-03 | 1998-11-17 | Boston Scientific Technology, Inc. | Surgical treatment of stress urinary incontinence |
US5766221A (en) * | 1991-12-03 | 1998-06-16 | Boston Scientific Technology, Inc. | Bone anchor implantation device |
US6056688A (en) * | 1991-12-03 | 2000-05-02 | Boston Scientific Technology, Inc. | Device and method for transvaginally suspending the bladder neck |
WO1993010715A3 (en) * | 1991-12-03 | 1993-07-08 | Vesitec Medical Inc | Surgical treatment of stress urinary incontinence |
US6001104A (en) * | 1991-12-03 | 1999-12-14 | Boston Scientific Technology, Inc. | Bone anchor implantation device |
US5544664A (en) * | 1991-12-03 | 1996-08-13 | Benderev; Theodore V. | Method of advancing a suture through tissue |
US5611515A (en) * | 1991-12-03 | 1997-03-18 | Boston Scientic Corporation | Bladder neck suspension procedure |
US5620012A (en) * | 1991-12-03 | 1997-04-15 | Benderev; Theodore V. | Method of percutaneously anchoring a suture to a bone |
US5938686A (en) * | 1991-12-03 | 1999-08-17 | Boston Scientific Technology, Inc. | Method of installing bone anchor |
US5746763A (en) * | 1991-12-03 | 1998-05-05 | Boston Scientific Technology, Inc. | Device for supporting and positioning medical equipment |
US5749884A (en) * | 1991-12-03 | 1998-05-12 | Boston Scientific Technology, Inc. | Bone anchor implantation device and method |
US5860425A (en) * | 1991-12-03 | 1999-01-19 | Boston Scientific Technology, Inc. | Bladder neck suspension procedure |
US5813408A (en) * | 1991-12-03 | 1998-09-29 | Boston Scientific Technology, Inc. | Surgical drape |
WO1993010715A2 (en) * | 1991-12-03 | 1993-06-10 | Vesitec Medical, Inc. | Surgical treatment of stress urinary incontinence |
US5836315A (en) * | 1991-12-03 | 1998-11-17 | Boston Scientific Technology, Inc. | Method of tensioning a suspended tissue mass |
US5842478A (en) * | 1991-12-03 | 1998-12-01 | Boston Scientific Technology, Inc. | Method of securing a bone anchor |
WO1994009708A1 (en) * | 1992-10-27 | 1994-05-11 | Neoligaments Limited | Ligament graft harvesting |
US5733289A (en) * | 1992-10-27 | 1998-03-31 | Neoligaments Limited | Ligament graft harvesting |
US5540703A (en) * | 1993-01-06 | 1996-07-30 | Smith & Nephew Richards Inc. | Knotted cable attachment apparatus formed of braided polymeric fibers |
US5456722A (en) * | 1993-01-06 | 1995-10-10 | Smith & Nephew Richards Inc. | Load bearing polymeric cable |
US7347813B2 (en) | 1994-08-30 | 2008-03-25 | Ethicon, Inc. | Surgical instrument for treating female urinary incontinence |
US7658743B2 (en) | 1995-10-09 | 2010-02-09 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US7717917B2 (en) * | 2004-09-06 | 2010-05-18 | Newdeal | Ancillary device for positioning a bone graft in a joint in order to ensure arthrodesis of the joint |
US9545252B2 (en) | 2009-07-16 | 2017-01-17 | Howmedica Osteonics Corp. | Suture anchor implantation instrumentation system |
US11304690B2 (en) | 2009-07-16 | 2022-04-19 | Howmedica Osteonics Corp. | Suture anchor implantation instrumentation system |
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Also Published As
Publication number | Publication date |
---|---|
DE3582689D1 (de) | 1991-06-06 |
JPS60241434A (ja) | 1985-11-30 |
EP0153831A3 (en) | 1987-09-09 |
EP0153831B1 (de) | 1991-05-02 |
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